Active NPI
William Raymond Lieske, D.C.
- Chiropractor
- Lonsdale, MN
National Provider Identifier
1275923856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6046
- Practice address
- 100 Main Street South
Lonsdale, MN 55046-0162 - Phone
- (507) 744-5514
- NPI assigned
- Feb 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6046 | MN | Primary |
Addresses
Primary practice location
100 Main Street South
Lonsdale, MN 55046-0162
Mailing address
PO Box 162
Lonsdale, MN 55046-0162
Phone (507) 744-5514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150710001345 | MN | Practitioner - Chiropractic | 9739491333 | Practice locations: Lonsdale, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Main S St
Lonsdale, MN 55046-4075
Phone (507) 744-5514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6046 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonsdale Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lonsdale, MN
- NPI 1154586634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1275923856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162",
"city": "LONSDALE",
"state": "MN",
"postal_code": "550460162",
"telephone_number": "507-744-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN STREET SOUTH",
"city": "LONSDALE",
"state": "MN",
"postal_code": "550460162",
"telephone_number": "507-744-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIESKE",
"first_name": "WILLIAM",
"middle_name": "RAYMOND",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-03",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lonsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.